A breastfeeding mother asks the postpartum nurse if any supplementation is necessary once her breast milk comes in. What is the nurse's best response?

Question

a. "Are you concerned about your ability to adequately nurse your baby?"
b. "Do you eat a well-balanced diet, high in protein and carbohydrates?"
c. "Breast milk is low in vitamin D and supplementation with 400 IU is recommended."
d. "Your breast milk has all the vitamins and will adequately meet your baby's needs."

Answer 1

ANS: C
Generally, nutrients provided in breast milk are present in amounts and proportions needed by the infant. However, recent studies have shown that the vitamin D content of breast milk is low, and daily supplementation with 400 IU of vitamin D is recommended within the first few days of life. Breastfeeding infants who are not exposed to the sun and those with dark skin are particularly at risk for insufficient vitamin D. Formula-fed infants who drink less than 1 quart of vitamin D–fortified milk per day should also be supplemented. Although the fatty acid content of breast milk is influenced by the mother's diet, malnourished mothers' milk has about the same proportions of total fat, protein, carbohydrates, and most minerals as milk from those who are well nourished. Levels of water-soluble vitamins in breast milk are affected by the mother's intake and stores. It is important for breastfeeding women to eat a well-balanced diet to maintain their own health and energy levels.